Individual
ANDREA R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
106 S WASHINGTON ST, CHARLOTTE, MI 48813-1545
(517) 599-5283
Mailing address
899 STATE ST, CHARLOTTE, MI 48813-1750
(517) 599-5283
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0
MI
Other
Enumeration date
01/05/2012
Last updated
01/05/2012
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